Please feel free to download our forms and send them in by mail or by fax for pre-registration and benefit verification for insurance. The following three forms are necessary for pre-registration:
Pre-registration Forms In English:
- New Patient Form
- Acknowledgement of Receipt of Notice of Privacy Practices
- Consent for Use and Disclosure of Health Information
Pre-registration Forms In Spanish:
Please include a copy of your insurance card (front and back) and mail or fax these forms to:
Berger Dental Group, P.A.
Post Office Box 6705
Columbia, SC 29260
Fax: 803-738-0300
Additional Forms:
Post-Op Discharge Instructions
Extraction Post-Op Instructions
Instrucciones Post-Operativas Despues Del Despido
Instrucciones Post-Operativas Despues De Una Extraccion